Payne A, Blanchard E B
Center for Stress and Anxiety Disorders, University at Albany, State University of New York, USA.
J Consult Clin Psychol. 1995 Oct;63(5):779-86. doi: 10.1037//0022-006x.63.5.779.
Thirty-four patients with irritable bowel syndrome were randomly assigned to 1 of 3 treatment conditions: individualized cognitive treatment (CT), self-help support group (SG), or symptom-monitoring waiting-list control (WL). Each of the 3 conditions lasted approximately 8 weeks. Pre- to posttreatment analyses revealed significantly greater reductions in both individual gastrointestinal (GI) symptoms and in a composite index for GI symptom change for the CT condition than for the SG or WL conditions. When compared with the SG and WL conditions, the CT condition also showed significant improvement on psychological measures of depression and anxiety. At 3-month follow-up, the results for the CT condition were maintained and revealed further numerical improvements.
34名肠易激综合征患者被随机分配到3种治疗方案中的一种：个体化认知治疗（CT）、自助支持小组（SG）或症状监测等待名单对照（WL）。3种方案中的每种持续约8周。治疗前至治疗后的分析显示，与SG或WL方案相比，CT方案在个体胃肠道（GI）症状以及GI症状变化综合指数方面的改善均显著更大。与SG和WL方案相比，CT方案在抑郁和焦虑的心理测量指标上也显示出显著改善。在3个月的随访中，CT方案的结果得以维持并显示出进一步的数值改善。
